Polley Clinic Of Dermatology & Dermatologic Surgery

LBN: Polley Clinic Of Dermatology & Dermatologic Surgery
Polley Clinic Of Dermatology & Dermatologic Surgery is an health care organization with primary practice located at 1806 Glendale Dr Sw , Wilson NC 27893-4402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. Polley Clinic Of Dermatology & Dermatologic Surgery can be contacted via phone (252) 243-0566, or through Newman, Kelli via phone (252) 668-7026.

Contact Information

Primary practice address
1806 Glendale Dr Sw Wilson NC 27893-4402
Phone: (252) 243-0566
Fax: (252) 243-1347
Website:
Map and Directions
Authorized official contact:
Name: Newman, Kelli
Phone: (252) 668-7026

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 27881 North Carolina

Profile Details

NPI number 1104847714
LBN Legal business name Polley Clinic Of Dermatology & Dermatologic Surgery
DBA Doing business as
Authorized official Newman, Kelli
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104847714 NPPES
North Carolina Other 2222414 FIRST HEALTH
North Carolina Other 0296G FIRST HEALTH
North Carolina Other 785505 FIRST HEALTH
North Carolina Other 68327 FIRST HEALTH
North Carolina Other 7068303 FIRST HEALTH
North Carolina Other 7257619 FIRST HEALTH
North Carolina MEDICAID 890296G FIRST HEALTH
North Carolina Other DE4848 FIRST HEALTH
North Carolina Other 99494 FIRST HEALTH

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